Perspectives on treatment for communication deficits associated with right hemisphere brain damage

and pragmatic) deficits associated with right hemisphere brain damage and to provide suggestions for treatment selection given the paucity of evidence specifically for this population. Method: The discussion covers (a) clinical decision processes and evidence-based prac-tice; (b) a review of right hemisphere communi-cation deficits and existing treatment studies; (c) accounts of right hemisphere function, right hemisphere deficits, and theoretically motivated treatments; and (d) a guide for exploring and selecting treatments based on deficits rather than etiology. Conclusions: Controlled treatment studies for communication deficits specifically for adults with right hemisphere brain damage are limited to aprosodia. For other communication deficits, clinicians may select treatments based on current theories of right hemisphere function and right hemisphere deficits, and/or treatments developed for other etiologies for which deficits are similar to those associated with right hemisphere damage. Key Words: evidence-based practice, neurogenic speech and language, cognitive-communication disorders, stroke The field of speech-language pathology has comea long way in understanding communication deficitsassociated with right hemisphere brain damage (RHD) since they were first described in the 1960s and 1970s. Despite an increasing body of information about the deficits, knowledge about how to treat them is lacking. There has been a plethora of research on neglect and treatments for visual neglect, and those treatments have been reviewe